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General NPI Number Information
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NPI Number | 1346656956
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Entity Type | Individual
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Provider Name | KAMEL ELHOSARY D.M.D, B.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 505 N ESPLANADE ST
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City | CUERO
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State | TX
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Zip | 77954-3603
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Country | US
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Telephone | 361-288-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 505 NORTH ESPLANADE STREET
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City | CUERO
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State | TX
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Zip | 03103-5738
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Country | US
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Telephone | 361-288-8666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 04061
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31577
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License Number State | TX
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